CVS Health

Financial Planning and Analysis

• PBM Client Billing Financial Analyst role requires a motivated individual.
• Manage revenue-cycle operations for CVS Health’s Caremark business.
• Handle operational ticket queue management via SalesForce Case work.
• Monitor and support client tasks and ensure completion in accordance with SLAs.
• Document, review, and resolve cycle processing errors.
• Work with internal partners and attend conference calls as needed.
• Create work instruction documentation and identify process inefficiencies.

Senior Analyst, Financial Operations

Support Engineer

• Document problems, complete problem tickets, and request information in the support tools
• Maintain knowledge with accurate up-to-date information relating to current policies, procedures, and troubleshooting techniques
• Effectively manage call workload
• Provide outstanding customer support by analyzing, diagnosing, and resolving problems and requests within service level agreements
• Collaborate well in a team environment

Technical Support Representative

Analyst

• Provide support and service to the behavioral health clinical autism teams
• Process and record receipt of clinical requests and assign for review
• Facilitate follow-up calls for additional information from providers
• Assist clinical staff in locating services for members through provider searches
• Provide information to clinical staff regarding results of provider or resource searches
• Monitor fax/email mailboxes and tasking buckets
• Submit PIN requests for providers not listed in the system
• Assign cases to clinicians
• Collaborate with clinical staff on administrative processes
• Forward documents to be attached to clinical cases
• Create new cases based on new requests
• May participate in reporting or data collection with projects

Analyst, Care Associate – Behavioral Health

• Define and execute the long-term roadmap for enterprise finance initiatives, ensuring alignment with corporate strategy and financial objectives.
• Establish governance frameworks, operating cadences, and success metrics for all strategic programs.
• Serve as a strategic advisor to senior leadership, providing insights and recommendations that shape enterprise decisions.
• Lead complex, cross-functional programs including ERP modernization, process redesign, and finance transformation initiatives.
• Drive accountability for milestones and outcomes across multiple workstreams.
• Administer change management strategies to support successful implementation and adoption of transformation initiatives.
• Partner with senior leaders to ensure alignment and adoption of strategic initiatives.
• Mentor and develop internal teams in advisory and consulting best practices.

Director, Strategic Initiatives – Enterprise Finance

Account Executive

• Serve as the senior level liaison for PBM clients
• Interface with Leadership both internally and externally
• Lead the strategic account team with full ownership for client satisfaction and service delivery
• Develop strong internal and client relationships through proactive interactions and strong verbal and written communication skills
• Work collaboratively with internal teams including medical, account management, clinical, product, operations, and underwriting
• Utilize consultative selling skills to recommend CVS Health solutions to meet key client needs
• Develop and deliver quarterly and annual reporting to clients on their drug trend, financial performance, and client cost-saving opportunities
• Execute client renewals by building relationships with key client stakeholders and asking effective probing questions to lead to innovative pharmacy benefit plan designs

Account Executive – Strategic

Product Designer

• Provide frequent, hands-on coaching to direct reports, including experience designers and content strategists, guiding individual development plans and differentiating between professional and career growth
• Balance people management duties with hands-on ownership of critical design initiatives, contributing directly to project outcomes alongside your team
• Build strong cross-functional relationships with product, engineering, and research partners; proactively communicate status, risks, and needs
• Negotiate project priorities and timelines, balancing user needs with business and technical constraints
• Integrate user research, analytics, and accessibility best practices into daily design decisions and project planning
• Assign projects and tasks based on strengths and skill-building, communicating clear expectations and supporting colleague autonomy
• Address bias, exclusion, and behaviors that undermine trust or inclusion; ensure all team processes and meetings are accessible and inclusive
• Set clear goals and expectations for direct reports, holding the team accountable for quality, consistency, and delivery standards
• Facilitate and participate in design reviews, offering actionable feedback on craft, accessibility, and alignment to standards
• Identify and address skill gaps, process improvements, and blockers to sustain team performance and delivery
• Model and coach accessibility skills—ensuring all team outputs meet or exceed accessibility standards and advocating for accessible solutions in every phase of delivery
• Communicate the impact of design decisions on user and business outcomes; advocate for user-centered approaches in planning and execution
• Allocate resources and manage team workload to deliver high-quality work on schedule and within scope
• Model resilience, adaptability, and a growth mindset—supporting the team through challenges and change

Senior Manager – Digital UX Design

Consultant

• Responsible for the review and evaluation of clinical information and documentation
• Reviews documentation and interprets data obtained from clinical records or systems to apply appropriate clinical criteria and policies in line with clinical editing, policy and coding standards
• Evaluates documentation/information to determine compliance with clinical policy, regulatory, and accreditation guidelines
• Accurately applies review requirements to assure case is reviewed by a practitioner with clinical expertise for the issue at hand
• Reports audit or clinical findings to appropriate staff or others in order to ensure appropriate outcome and/or follow-up for improvement as indicated

QM Nurse Consultant

Customer Success Manager

• Perform and support plan changes
• Perform ID card facilitation
• Complete any necessary reporting (scheduled, ad-hoc)
• Conduct inbound phone calls
• Complete any assigned invoices
• Perform any assigned group terminations
• Complete documentation requests
• Serve as a presence throughout the implementation process
• Facilitate and participate in external-facing meetings
• Perform overrides as needed
• Oversee prior authorization and accessibility processes
• Conduct inbound phone calls
• Oversee resolution of claims issues
• Perform manual eligibility adds and terminations
• Service warranties as assigned

Client Experience Manager

Product Manager

• Product management leadership for one or more digital product domains supporting Medicaid members and providers
• Own and define the product vision and strategy, roadmap, feature delivery, and overall success of the product
• Manage a backlog of features and enablers to enhance the product and extend its architectural and discovery runway
• Accountable for overall product health, inclusive of technical health, and risk communication
• Provide guidance on sequencing and prioritizing investments to optimize value and ensure compliance with CMS and state Medicaid requirements
• Partner with Business General Manager, Design, Engineering, and Data/Analytics forming the ‘Five in a Box’ cross-discipline product team
• Serve as the main point-of-contact with stakeholders such as architects, tech-ops, security, and compliance

Senior Product Manager – Medicaid

Vice President

• Responsibility for supporting Medicare programs with short-and-long term profitability and growth of the health plan
• Spearheading the implementation of new contracts, programs, services, and preparation of bid and grant proposals
• Responsibility for the overall financial performance and achievement of the budget of the Medicare plans within the Market
• Direction of senior leaders of specific functional areas as assigned
• Functional areas may include operations, sales, marketing, provider relations, network development, utilization management, and/or STARS/HEDIS quality improvement, and Revenue Integrity efforts
• Coordinating and monitoring functional integration of these areas in cooperation with corporate departments to achieve planned business results
• Leading all departments in the development, implementation and maintenance of policies and procedures to ensure compliance with the State and Federal regulatory requirements
• Responsibility for the plan performance related to all required State and Federal audits
• Responsibility for the management and organization of plan activities at the health plan as it relates to the Medicare business
• Monitoring the budget in assigned functional areas and takes corrective actions when necessary
• Leading and developing people, preferably leading managers
• Proven team leadership experience - leadership skills to build high-performing teams, manage and develop talent, influence, and impact a broad set of stakeholders, engage, and inspire others, and lead by example
• Ability to lead teams and drive performance in a dynamic and fast-paced environment
• Partnering effectively within the team and across the organization to ensure strategic initiatives stay aligned to plan and elevate solutions to barriers and decisions needed to executive leaders at the highest levels of organization
• Creating and executing a sustainable, and profitable-growth strategy

AVP, General Manager – Medicare

Solutions Engineer

• Performing technical planning, architecture development and modification of specifications
• Developing specifications for new products/services, applications and service offerings
• Assessing the compatibility and integration of products/services proposed as standards in order to ensure an integrated architecture across interdependent technologies
• Accountability and oversight for designing & building solutions for HR Technology from cradle to grave by providing leadership and oversight to tech leads who are intimately familiar with the application
• Able to perform Buy vs Build analysis based on the qualitative and quantitative analysis across the available options to provide a final recommendation based on the rationale
• Play a key role in architecture design reviews and identify gaps and recommend design changes
• Leverage significant technical expertise and domain knowledge to identify apps optimization needs
• Lead and drive proofs-of-concept and technology deep-dives specific to partner technologies
• Advise and assist Application development teams with technical roadblocks such as performance challenges within a solution
• Recommend or assess opportunities to drive cost efficiencies aimed at simplicity, configurability and eventual elimination of technical debt associated with applications
• Collaborate with stakeholders to define the architectural vision, strategy, and roadmap for the organization
• Engage with business users, technology teams, and leadership to understand their needs, gathering requirements to ensure alignment between architectural solutions and business objectives
• Participate in architecture reviews, provides recommendations, and oversees the implementation of governance frameworks
• Evaluate emerging products & technologies, tools, and frameworks to support domain architectural decisions and provides recommendations for technology adoption
• Encourage knowledge sharing, identify opportunities for enhancing architectural processes and methodologies, and support professional development initiatives for the architectural team.

Lead Solutions Architect – HR Technology

• Direct all aspects of customer benefit plan implementation
• Communicate with stakeholders to identify and address implementation issues
• Lead process improvement efforts to enhance program installation
• Mediate and coordinate resolution of project deliverables and implementation issues
• Develop and execute implementation strategy
• Collaborate on review and development of recommendations for complex account and benefit structures
• Solicit and assess customer feedback to enhance quality improvement
• Identify gaps and recommend enhancements to products and workflows
• Provide consultative support for administrative efficiencies
• Lead initiatives for implementation tools and resources
• Participate in the development and introduction of new products
• Mentor and coach new/junior staff members

Senior Implementation Analyst

Learning and Development

• Oversee Finance Leadership Development Program full-cycle operations from recruiting program talent through program graduation and alumni engagement
• Partner with key stakeholders to set vision and strategic goals to ensure the programs are attracting, developing, and retaining key talent for the organization
• Coordinate with Finance program action committees to set strategy, achieve goals, and strive toward best-in-class processes and experiences
• Ensure program members have a robust, engaging, and inclusive culture by facilitating experiences such as annual LDP Engage event, orientation, graduation, location-based engagement, and general recognition
• Identify opportunities to upskill program members and support the development of foundational business acumen, technical skills, and leadership skills
• Work closely with HR Business Partner on performance management, compensation, executing rotation assignments, and more
• Engage with Corporate University Relations/Talent Acquisition to market the programs, and source, screen, and hire top talent for programs
• Coach, support, and provide feedback to program members with a consistent focus on development and growth
• Track and measure program data and provide analysis to leaders to support strategic decision making

Senior Manager, Talent Development

Account Manager

• Drive membership growth, revenue, and broker/partner engagement for Commercial Individual Dental and Vision products
• Lead the development and execution of sales strategy across assigned geographies and/or distribution channels
• Partner closely with marketing, product, actuarial, operations and field sales resources
• Ensure consistent pipeline development, quoting conversion, and enrollment performance
• Establish go-to-market plans, monitor performance to targets, and identify opportunities to accelerate growth

Senior Manager, IVL Sales & Account Management

• Collaborate with Product Managers to define strategy, conduct market research, maintain an aligned roadmap, and bring the customer perspective into features and experiences
• Builds and aligns roadmaps for your features or suite of features and provides recommendations to leadership on scope based on priorities and overall product vision
• Effectively communicates the product vision to team members
• Defines team goals/metrics aligned with broader product objectives, and develops feature-level measurement plans to evaluate progress towards outcomes, aligned with business objectives
• Builds, prioritizes, monitors, edits, and maintains the flow and quality of the Team Backlog to provide teams with clear intent and ensure the delivery of business value, product health, and customer satisfaction
• Ensures that all backlog items, plus dependencies, are entered and maintained in the work management tool
• Provides input for testing through well-written user stories with thorough acceptance criteria
• Supports testing, deployment, release, and post-release activities. They will work directly with engineering and others to optimize the working team model and ensure alignments across higher-level epics or requirements
• Sets high-level direction for a quarter/planning increment, manages dependencies, and provides transparency to execute upon planning and prioritized features
• Ensures that incremental learnings from product delivery are prioritized in the backlog
• Uses performance data to identify issues and develop new insights and hypothesis about product health (including product usage, technical health, customer feedback, and other sources as appropriate)
• Tracks team metrics that contribute to product OKRs, socializes progress and consistently reinforces objectives
• As a part of the cross-functional team, collaborates closely with engineering, design, architecture, operations and other team members using agile practices
• Leads the team to produce the product or experience demo and presents to stakeholders
• Serves as the point of contact for feature delivery and works directly with other Product Management, Delivery, and/or business roles as needed to ensure broader alignment with the Epic/initiative
• Sets a positive culture by growing, coaching, and setting expectations on ways of working for team members. This is done through providing actionable feedback, investing time in junior team members, and continued collaboration
• Mentor peers in execution best practices and optimize workflows for scalability and impact